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Postanaesthetic shivering in children

B Lyons1, A Taylor, C Power

  • 1Department of Anaesthesia, Our Lady's Hospital for Sick Children, Dublin.

Anaesthesia
|May 1, 1996
PubMed
Summary

Post-anaesthetic shivering occurred in 14.4% of children, influenced by age, atropine, and temperature changes. Shivering children showed faster recovery room rewarming.

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Area of Science:

  • Pediatric Anesthesiology
  • Postoperative Care

Background:

  • Postanaesthetic shivering is a common complication in children.
  • Understanding its incidence and contributing factors is crucial for patient safety.

Purpose of the Study:

  • To determine the incidence, severity, and etiological factors of postanaesthetic shivering in pediatric patients.
  • To identify predictors of shivering and its impact on recovery.

Main Methods:

  • Prospective study of 376 children undergoing general anesthesia.
  • Monitoring tympanic membrane temperatures and recording anesthetic data, fluid administration, temperature preservation methods, sedation, and shivering severity.
  • Statistical analysis using multiple regression.

Main Results:

  • Overall incidence of postanaesthetic shivering was 14.4%.
  • Significant risk factors identified: younger age, atropine administration, and peri-operative temperature fluctuations.
  • Children who shivered exhibited faster rewarming in the recovery room.

Conclusions:

  • Age, atropine, and temperature changes are key factors in pediatric postanaesthetic shivering.
  • Despite shivering, affected children demonstrate improved thermoregulation post-operatively.

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